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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4041 Introduced in Senate (IS)]

<DOC>

118th CONGRESS
  2d Session
                                S. 4041

To support local educational agencies in addressing the student mental 
                             health crisis.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             March 21, 2024

 Mr. Cornyn (for himself, Ms. Sinema, Mr. Tillis, Mr. Tester, and Ms. 
    Hassan) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 
To support local educational agencies in addressing the student mental 
                             health crisis.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Creating Access and Resources in 
Education for Student Mental Health Act'' or the ``CARE for Student 
Mental Health Act''.

SEC. 2. PURPOSES.

    The purposes of this Act are to address the student mental health 
crisis by--
            (1) increasing the number of, and diversifying, school-
        based mental health services providers; and
            (2) supporting local educational agencies in recruiting, 
        hiring, retaining, and diversifying school-based mental health 
        services providers to meet the mental health needs of students.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) ESEA definitions.--The terms ``child with a 
        disability'', ``educational service agency'', ``elementary 
        school'', ``English learner'', ``evidence-based'', 
        ``institution of higher education'', ``local educational 
        agency'', ``other staff'', ``outlying area'', 
        ``paraprofessional'', ``professional development'', ``school 
        leader'', ``secondary school'', ``specialized instructional 
        support personnel'', ``Secretary'', ``State'', and ``State 
        educational agency'' have the meaning given those terms in 
        section 8101 of the Elementary and Secondary Education Act of 
        1965 (20 U.S.C. 7801).
            (2) Eligible institution.--The term ``eligible 
        institution'' means an institution of higher education that 
        offers a program of study in--
                    (A) school psychology that prepares students in 
                such program for a State credential as a school 
                psychologist;
                    (B) school counseling that prepares students in 
                such program for a State credential as a school 
                counselor;
                    (C) school social work that prepares students in 
                such program for a State credential as a school social 
                worker;
                    (D) another school-based mental health field that 
                prepares students in such program for a State license 
                or credential as a school-based mental health services 
                provider under State law or regulation, as determined 
                by the Secretary; or
                    (E) any combination of study described in 
                subparagraphs (A) through (D) that prepares students in 
                such program for a State credential as a school based 
                mental health services provider.
            (3) High-need local educational agency.--
                    (A) In general.--The term ``high-need local 
                educational agency'' means a local educational agency 
                that, as of the date on which an application is 
                submitted for a grant under this Act--
                            (i)(I) has a locale code of 32, 33, 41, 42, 
                        or 43, as determined by the Secretary; or
                            (II) is in the highest quartile of local 
                        educational agencies, as determined by the 
                        State educational agency, in a ranking of all 
                        local educational agencies in the State, ranked 
                        in descending order by the number or percentage 
                        of children in each such agency counted under 
                        section 1124(c) of the Elementary and Secondary 
                        Education Act of 1965 (20 U.S.C. 6333(c)); and
                            (ii) does not meet 2 or more of the 
                        following ratios:
                                    (I) A ratio of 1 full-time 
                                equivalent school counselor for every 
                                250 students.
                                    (II) A ratio of 1 full-time 
                                equivalent school psychologist for 
                                every 500 students.
                                    (III) A ratio of 1 full-time 
                                equivalent school social worker for 
                                every 250 students.
                    (B) ESA.--The term ``high-need local educational 
                agency'' includes an educational service agency acting 
                on behalf of 1 or more local educational agencies 
                described in subparagraph (A).
            (4) Indian tribe.--The term ``Indian tribe'' means any 
        Indian tribe identified as such by the Secretary of the 
        Interior under section 104 of the Federally Recognized Indian 
        Tribe List Act of 1994 (25 U.S.C. 5131).
            (5) Minority-serving institution.--The term ``minority-
        serving institution'' means an institution of higher education 
        that is an eligible institution under section 371(a) of the 
        Higher Education Act of 1965 (20 U.S.C. 1067q(a)).
            (6) School-based mental health partnership.--The term 
        ``school-based mental health partnership'' means a partnership 
        that--
                    (A) is between an eligible institution and 1 or 
                more local educational agencies;
                    (B) prepares students enrolled in the eligible 
                institution to obtain a State credential as a school-
                based mental health services provider; and
                    (C) is designed to increase the number or diversity 
                of school-based mental health services providers in 
                schools served by local educational agencies in order 
                to meet recommended ratios of students to full-time 
                equivalent school-based mental health services 
                providers in those schools, such as by--
                            (i) recruiting, preparing, or 
                        respecializing students enrolled in the 
                        eligible institution's school-based mental 
                        health provider program of study to obtain a 
                        State credential as, and to be employed as, a 
                        school-based mental health services provider;
                            (ii) expanding supervised opportunities for 
                        students enrolled in such program of study to 
                        complete required field work, credit hours, 
                        internships, or related training in order to 
                        meet State credentialing requirements as a 
                        school-based mental health services provider in 
                        schools served by a local educational agency; 
                        and
                            (iii) recruiting and retaining graduates of 
                        eligible institutions who have obtained a State 
                        credential as a school-based mental health 
                        services provider, to provide school-based 
                        mental health services related to prevention, 
                        early identification, and individualized 
                        intervention in schools served by a local 
                        educational agency.
            (7) School-based mental health services provider.--The term 
        ``school-based mental health services provider'' has the 
        meaning given the term in section 4102 of the Elementary and 
        Secondary Education Act of 1965 (20 U.S.C. 7112).

SEC. 4. STRENGTHENING THE PIPELINE OF SCHOOL-BASED MENTAL HEALTH 
              SERVICES PROVIDERS.

    (a) Purpose.--The purpose of this section is to increase the number 
or diversity of school counselors, school social workers, school 
psychologists, and other school-based mental health services providers 
to serve students enrolled in schools served by local educational 
agencies.
    (b) Authorization of Grants.--
            (1) In general.--From amounts made available to carry out 
        this section and not reserved under paragraph (2), the 
        Secretary shall award grants, on a competitive basis, to 
        eligible institutions to support school-based mental health 
        partnerships, in accordance with subsection (d).
            (2) Reservations.--From the total amount made available to 
        carry out this section for any fiscal year, the Secretary shall 
        reserve not more than 2 percent to support program 
        administration, technical assistance, data collection, and 
        dissemination of best practices under this section.
            (3) Duration and renewals.--
                    (A) Duration.--A grant awarded under this section 
                shall be for a period of not more than 5 years.
                    (B) Renewal.--The Secretary may renew a grant 
                awarded under this section if the eligible institution 
                demonstrates to the Secretary that the eligible 
                institution is effectively using funds to significantly 
                expand the pipeline of school counselors, school social 
                workers, school psychologists, and other mental health 
                professionals who meet State credentialing standards as 
                a school-based mental health services provider.
            (4) Geographic diversity.--In awarding grants under 
        paragraph (1), the Secretary shall ensure that, to the extent 
        practicable and in accordance with paragraph (6), grants are 
        distributed among eligible institutions that will serve 
        geographically diverse areas, including urban, suburban, and 
        rural areas.
            (5) Sufficient size and scope.--Each grant awarded under 
        this section shall be of sufficient size and scope to allow the 
        grantee to carry out the purpose of this section.
            (6) Priorities.--In awarding grants under paragraph (1), 
        the Secretary shall give priority to--
                    (A) minority-serving institutions, including 
                historically Black colleges and universities (defined 
                as ``part B institutions'' under section 322 of the 
                Higher Education Act of 1965 (20 U.S.C. 1061) and 
                Tribal Colleges or Universities (as defined in section 
                316 of such Act (20 U.S.C. 1059c)); and
                    (B) eligible institutions that seek to form a 
                school-based mental health partnership with a high need 
                local educational agency.
            (7) Timeline.--In carrying out the competitive process 
        described in paragraph (1), the Secretary shall--
                    (A) to the greatest extent practicable, ensure that 
                an eligible institution receives not less than 90 days 
                to submit an application described in subsection (c); 
                and
                    (B) to the greatest extent practicable, provide 
                technical assistance to eligible institutions and to 
                local educational agencies that are or may be part of a 
                school-based mental health partnership, in applying for 
                grants under this section, including by--
                            (i) disseminating the application under 
                        this section to all State educational agencies 
                        and providing guidance, to the extent 
                        practicable, to ensure accurate identification 
                        of local educational agencies that may 
                        participate in a school-based mental health 
                        partnership;
                            (ii) supporting eligible institutions in 
                        identifying prospective local educational 
                        agencies with whom to partner in a school-based 
                        mental health partnership that may be supported 
                        by a grant under this section;
                            (iii) provide timely notice about the 
                        competitive process under this section, on the 
                        same day that a notice inviting applications is 
                        published in the Federal Register;
                            (iv) making publicly available templates 
                        for sample letters of intent described in 
                        subsection (c)(5) and model application 
                        materials on the same day that a notice 
                        inviting applications is published in the 
                        Federal Register; and
                            (v) addressing questions or concerns from 
                        the field in a timely manner, as well as 
                        offering multiple opportunities, webinars, or 
                        other efforts to engage eligible institutions 
                        and local educational agencies that are or may 
                        be part of a school-based mental health 
                        partnership with an eligible institution.
    (c) Application.--An eligible institution applying for a grant 
under subsection (b)(1) shall submit an application to the Secretary at 
such time, in such manner, and accompanied by such information as the 
Secretary may require, which shall include--
            (1) a description of the prevalent mental health or 
        substance use and misuse concerns facing students enrolled in 
        schools served by local educational agencies that will be part 
        of the school-based mental health partnership (referred to in 
        this section as ``participating local educational agencies''), 
        and, if applicable, challenges related to high rates of chronic 
        absenteeism in those schools;
            (2) the extent to which the proposed school-based mental 
        health partnership will address the challenges described in 
        paragraph (1);
            (3) a description of how the eligible institution will 
        increase the number or diversity of school-based mental health 
        services providers in participating local educational agencies 
        through the establishment and operation of a school-based 
        mental health partnership, including a description of such 
        partnership's strategies to--
                    (A) recruit, prepare, respecialize, retrain, or 
                diversify the students enrolled in school-based mental 
                health programs of study in order to help such students 
                to obtain a State credential and be employed as school-
                based mental health services providers in schools 
                served by local educational agencies; and
                    (B) provide supervised opportunities to place 
                students enrolled in the eligible institution in 
                schools served by a participating local educational 
                agency to complete required field work, credit hours, 
                internships, or related training to meet State 
                credentialing requirements as a school-based mental 
                health services provider, including a description of 
                the factors the partnership will consider when 
                determining the schools in which to place those 
                students;
            (4) a description of how the school-based mental health 
        partnership will increase the capacity of participating local 
        educational agencies to provide evidence-based comprehensive 
        school-based mental health services, accessible to all 
        students, to address the concerns described in paragraph (1), 
        and, if applicable, how such services will best meet the 
        diverse population of students to be served;
            (5) if applicable, a description of how the school-based 
        mental health partnership will collaborate with State, 
        regional, and local public health agencies (including mental 
        health agencies), the State Medicaid agency, child welfare 
        agencies, or other related public and private agencies that 
        provide mental health services to support the activities of the 
        school-based mental health partnership; and
            (6) a preliminary letter of intent, signed by each eligible 
        institution and each participating local educational agency in 
        the school-based mental health partnership described in 
        paragraph (3), that details the financial, programmatic, and 
        long-term commitment of the institution or agency, with respect 
        to the strategies described in the application.
    (d) Use of Funds.--An eligible institution that receives a grant 
under subsection (b)(1) shall use such funds to establish and operate 
the school-based mental health partnership described in subsection 
(c)(3) to increase the number or diversity of school-based mental 
health services providers and support the recruitment, preparation, 
respecialization, retraining, or diversification of students enrolled 
in school-based mental health programs of study, in order to help such 
students to obtain a State credential and be employed as school-based 
mental health services providers in schools served by local educational 
agencies, by engaging in 1 or more of the following:
            (1) Establishing a new, or expanding an existing, program 
        of study in school psychology, school counseling, school social 
        work, or another school-based mental health field that prepares 
        students to obtain a State credential and be employed as a 
        school-based mental health services provider. Funds may be used 
        to--
                    (A) support recruitment and retention of new or 
                additional faculty;
                    (B) purchase training materials;
                    (C) develop and disseminate materials to recruit 
                potential students;
                    (D) offer financial support to enrolled students; 
                or
                    (E) carry out any other activity necessary to 
                establish or expand such a program of study.
            (2) Expanding supervised opportunities for students 
        enrolled in school-based mental health programs of study to be 
        placed in schools served by a participating local educational 
        agency in order to complete required field work, credit hours, 
        internships, or related training required to obtain a State 
        credential as a school-based mental health service provider.
            (3) Developing pathways for staff, particularly diverse and 
        multilingual staff, of local educational agencies to receive 
        necessary education and training to obtain a credential as a 
        school-based mental health services provider.
            (4) Supporting activities to diversify the school-based 
        mental health services provider workforce, including 
        multilingual school-based mental health services providers.
            (5) Providing stipends or other financial assistance for 
        students enrolled in school-based mental health programs of 
        study, and supporting required field work, credit hours, 
        internships, or related training in local educational agencies.
            (6) Supporting collaborations with State, regional, and 
        local public health agencies (such as State substance abuse 
        agencies and State mental health agencies), State Medicaid 
        agencies, community health centers, child welfare agencies, and 
        other related public and private agencies that provide mental 
        health services to support activities under this subsection.
    (e) Reporting Requirements.--
            (1) Annual report.--Each eligible institution that receives 
        a grant under subsection (b)(1) shall submit a public report to 
        the Secretary on an annual basis and publish such report in a 
        clear and easily accessible format on the website of the 
        eligible institution. Such report shall contain, at a minimum, 
        the following information:
                    (A) The number of postsecondary students enrolled 
                in relevant programs of study operated by the eligible 
                institution and any increases in student enrollment or 
                faculty in such programs of study from the prior year.
                    (B) The number of such postsecondary students 
                supported under the grant.
                    (C) If applicable, the number of such eligible 
                institutions that met their goal of increasing the 
                diversity of school-based mental health services 
                providers.
                    (D) The number of such postsecondary students 
                supported under the grant who were placed in a school 
                served by a participating local educational agency--
                            (i) for training; or
                            (ii) for employment.
                    (E) The ratios of students to full-time equivalent 
                school-based mental health services providers, 
                disaggregated by profession to the extent practicable, 
                at schools served by a participating local educational 
                agency in the school year immediately preceding the 
                first year of the grant and in the most recent year of 
                the grant.
                    (F) The number of school-based mental health 
                services providers employed by participating local 
                educational agencies, disaggregated by the number of 
                such employees who graduated from an eligible 
                institution and obtained a credential as and were 
                placed into employment as a school-based mental health 
                services provider.
            (2) Secretary's report.--Not later than 3 years after 
        receiving the reports described in paragraph (1), and every 2 
        years thereafter, the Secretary shall submit a report to the 
        Committee on Health, Education, Labor, and Pensions of the 
        Senate and the Committee on Education and the Workforce of the 
        House of Representatives and make the report publicly available 
        in a clear and easily accessible format on the website of the 
        Department of Education. Such report shall include a summary of 
        the reports submitted by eligible institutions and identify 
        best practices related to--
                    (A) improving, expanding, and diversifying 
                preparation programs for school counselors, school 
                psychologists, school social workers, and other school-
                based mental health services providers; and
                    (B) supporting the recruitment and preparation of 
                school-based mental health services providers, 
                including effective respecialization and retraining 
                programs.
    (f) Disaggregation of Data.--Disaggregation of data shall not be 
required under this section when the number is insufficient to yield 
statistically reliable information or the results would reveal 
personally identifiable information about an individual.
    (g) Supplement Not Supplant.--Funds made available to an eligible 
institution through a grant under this section shall be used only to 
supplement and not supplant, any State, local, or non-Federal funds 
that would otherwise be used to carry out the activities described 
under this section.
    (h) Multiple Grants to Single Institution.--In awarding grants 
under subsection (b)(1), the Secretary may award multiple grants to a 
single eligible institution if the Secretary determines that--
            (1) the eligible institution submitted a high-quality 
        application for each distinct program of study, such as a 
        program related to school psychology or school social work; and
            (2) each award would support students enrolled in distinct 
        programs of study in related school-based mental health 
        services fields.
    (i) Prohibition.--A local educational agency that enters a school-
based mental health partnership with an eligible institution that 
receives funds under this section shall not be eligible to participate 
in another school-based mental health partnership with another eligible 
institution that receives funds under this section until the original 
grant period has ended.
    (j) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary 
for each of fiscal years 2025 through 2029.

SEC. 5. SCHOOL-BASED MENTAL HEALTH SERVICES GRANT PROGRAM.

    (a) Purpose.--The purpose of this section is to support high-need 
local educational agencies in recruiting, hiring, retaining, and 
diversifying school-based mental health services providers to expand 
access to school-based mental health services for students enrolled in 
schools served by such agencies.
    (b) Authorization of Grants.--
            (1) In general.--From amounts made available to carry out 
        this section and not reserved under paragraph (2), the 
        Secretary shall award grants, on a competitive basis, to high-
        need local educational agencies, in accordance with this 
        section.
            (2) Reservations.--From the total amount made available to 
        carry out this section for a fiscal year, the Secretary shall--
                    (A) reserve not more than 2 percent of such amount 
                for program administration, technical assistance, and 
                data collection;
                    (B) reserve 1 percent for the Secretary of the 
                Interior for schools operated or funded by the Bureau 
                of Indian Education, in accordance with the purpose of 
                this section; and
                    (C) reserve 1 percent for allotments for payments 
                to the outlying areas, to be distributed among those 
                outlying areas on the basis of their relative need, as 
                determined by the Secretary, in accordance with the 
                purpose of this section.
            (3) Duration and renewals.--
                    (A) Duration.--A grant awarded under this section 
                shall be for a period of not more than 5 years.
                    (B) Renewal.--The Secretary may renew a grant 
                awarded under this section for a period of not more 
                than 2 years.
            (4) Diversity of projects.--
                    (A) In general.--Subject to subparagraph (B), in 
                awarding grants under paragraph (1), the Secretary 
                shall ensure that, to the extent practicable, grants 
                are distributed among high-need local educational 
                agencies that will serve geographically diverse areas, 
                including urban, suburban, and rural areas.
                    (B) Rural local educational agencies.--In awarding 
                grants under paragraph (1), the Secretary shall ensure 
                that, to the greatest extent practicable, not less than 
                30 percent of the amounts made available to carry out 
                this section that remain after making reservations 
                under paragraph (2) are awarded to high-quality 
                applications submitted by high-need local educational 
                agencies to support rural high-need local educational 
                agencies described in section 3(3)(A)(i)(I).
            (5) Sufficient size and scope.--Each grant awarded under 
        paragraph (1) shall be of sufficient size and scope to allow 
        the high-need local educational agency receiving the grant to 
        carry out the purpose of this section.
            (6) Timeline.--In carrying out the competitive process 
        under this subsection, the Secretary shall--
                    (A) to the greatest extent practicable, ensure that 
                high-need local educational agencies have not less 90 
                days to submit an application;
                    (B) to the greatest extent practicable, send a 
                communication to every high-need local educational 
                agency containing notice of the application and the 
                award deadline; and
                    (C) to the greatest extent practicable, provide 
                technical assistance to high-need local educational 
                agencies, including by--
                            (i) addressing questions or concerns from 
                        the field in a timely manner, as well as 
                        offering multiple opportunities, webinars, or 
                        other efforts to engage local educational 
                        agencies about the application process; and
                            (ii) publishing not less than 3 examples of 
                        grant applications from geographically diverse 
                        locales, including not less than 1 such example 
                        from a rural high-need local educational agency 
                        described in section 3(3)(A)(i)(I).
    (c) Application.--A high-need local educational agency applying for 
a grant under subsection (b)(1) shall submit an application to the 
Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may require, which may include--
            (1) a description of the prevalent mental health or 
        substance use and misuse concerns facing students enrolled in 
        schools served by the high-need local educational agency, and, 
        if applicable, challenges related to high rates of chronic 
        absenteeism in those schools;
            (2) a description of the current shortage of school-based 
        mental health services providers in schools served by the high-
        need local educational agency that will be served under the 
        grant;
            (3) a description of the applicant's plan to support 
        recruiting, hiring, retaining, or diversifying school-based 
        mental health services providers in schools served by the high-
        need local educational agency to be served under the grant;
            (4) if applicable, a description of the high-need local 
        educational agency's plan to increase the capacity of 
        educators, school leaders, school-based mental health services 
        providers, and other relevant staff to address the needs 
        described in paragraph (1); and
            (5) an assurance that any school-based mental health 
        services provider, including any provider offering telehealth 
        services, provides services in a manner consistent with section 
        444 of the General Education Provisions Act (20 U.S.C. 1232g; 
        commonly known as the ``Family Educational Rights and Privacy 
        Act of 1974'') and the Individuals with Disabilities Education 
        Act (20 U.S.C. 1400 et seq.), as well as all applicable 
        Federal, State, and local laws.
    (d) Use of Funds.--
            (1) Recruiting, hiring, and retaining school-based mental 
        health services providers.--A high-need local educational 
        agency that receives a grant under subsection (b)(1) shall use 
        such funds to carry out 1 or more of the following:
                    (A) Implementing strategies to recruit school-based 
                mental health services providers in schools served by 
                high-need local educational agencies to help mitigate 
                shortages of such providers, such as--
                            (i) salary stipends or other financial 
                        incentives;
                            (ii) relocation benefits; and
                            (iii) opportunities for continuing 
                        professional development.
                    (B) Hiring school-based mental health services 
                providers to--
                            (i) provide school-based mental health 
                        services to students enrolled in schools served 
                        by high-need local educational agencies; and
                            (ii) implement evidence-based practices to 
                        improve school climate to support positive 
                        student mental health.
                    (C) Implementing strategies to retain school-based 
                mental health services providers in schools served by 
                high-need local educational agencies, which may include 
                providing--
                            (i) incentives described in subparagraph 
                        (A); and
                            (ii) ongoing professional development, 
                        induction, mentorship, or peer support for 
                        school-based mental health services providers.
            (2) Additional uses.--In addition to the activities 
        described in paragraph (1), a high-need local educational 
        agency that receives a grant under subsection (b)(1) may also 
        use such funds to increase the capacity of the high-need local 
        educational agency to address student needs described in 
        subsection (c)(1), through activities that may include--
                    (A) providing professional development to school-
                based mental health services providers, teachers, 
                principals, other school leaders, specialized 
                instructional support personnel, paraprofessionals, 
                other staff employed by each high-need local 
                educational agency, and to the extent practicable, 
                families, related to--
                            (i) meeting the needs of students at 
                        elevated risk of suicide, mental health 
                        concerns, or substance use and misuse;
                            (ii) implementation of evidence-based 
                        school-based mental health services with high 
                        fidelity, including such services related to--
                                    (I) prevention, early 
                                identification, and individualized 
                                intervention;
                                    (II) addressing substance use and 
                                misuse; and
                                    (III) preventing and eliminating 
                                any existing stigma in accessing such 
                                services;
                            (iii) mitigating indirect or secondary 
                        trauma experienced by staff employed by the 
                        high-need local educational agency and 
                        implementing evidence-based programs to promote 
                        mental health among such staff;
                            (iv) supporting school-based mental health 
                        services providers qualified to support 
                        students in languages other than English and 
                        children with disabilities;
                            (v) understanding when and how to refer a 
                        student to a school-based mental health 
                        services provider;
                            (vi) supporting the use of evidence-based 
                        practices to address student mental health 
                        needs; and
                            (vii) addressing chronic absenteeism;
                    (B) supporting high-need local educational agencies 
                in billing and accessing reimbursements under the 
                Medicaid program under title XIX of the Social Security 
                Act (42 U.S.C. 1396 et seq.) and the Children's Health 
                Insurance Program under title XXI of the Social 
                Security Act (42 U.S.C. 1397aa et seq.); or
                    (C) other activities that support the development 
                and implementation of innovative strategies to increase 
                access to school-based mental health services in 
                schools served by high-need local educational agencies, 
                which may include increasing access to school-based 
                mental health services provided through telehealth, 
                including ensuring any services provided through 
                telehealth are accessible for children with 
                disabilities.
    (e) Disaggregation of Data.--Disaggregation of data shall not be 
required under this section when the number is insufficient to yield 
statistically reliable information or the results would reveal 
personally identifiable information about an individual.
    (f) Reporting Requirements.--
            (1) Reporting.--Each high-need local educational agency 
        that receives a grant under subsection (b)(1) shall submit a 
        report to the Secretary on an annual basis and publish such 
        report in a clear and easily accessible format on the website 
        of the high-need local educational agency. Such report shall 
        contain any information required by the Secretary and, at a 
        minimum, the following:
                    (A) The number of school-based mental health 
                services providers employed by high-need local 
                educational agencies served under the grant and any 
                increases from the prior year, disaggregated by--
                            (i) the number of each type of such 
                        providers who was recruited, hired, or 
                        retained, with support under this grant; and
                            (ii) the demographics of such providers.
                    (B) The ratio of students to school-based mental 
                health services providers in schools served by high-
                need local educational agencies served under the grant 
                and the extent to which such ratio has decreased since 
                the start of the grant period.
                    (C) The reduction in the annual attrition rate of 
                school-based mental health services providers employed 
                by high-need local educational agencies served under 
                the grant and the extent to which such attrition rate 
                has decreased since the start of the grant period.
                    (D) A description of the strategies used by high-
                need local educational agencies served under the grant 
                to implement innovative evidenced-based strategies to 
                increase access to school-based mental health services 
                and to improve school climate for students enrolled in 
                schools served by such agencies.
            (2) Secretary's reports.--
                    (A) In general.--Not later than 3 years after 
                receiving the reports described in paragraph (1), and 
                every 2 years thereafter, the Secretary shall submit a 
                report to the Committee on Health, Education, Labor, 
                and Pensions of the Senate and the Committee on 
                Education and the Workforce of the House of 
                Representatives that--
                            (i) includes a summary of the reports 
                        submitted by grant recipients under paragraph 
                        (1);
                            (ii) identifies effective practices related 
                        to the activities supported by the grant 
                        program under this section; and
                            (iii) includes an analysis of whether the 
                        recipient carried out its plan described in 
                        subsection (c)(3).
                    (B) Publicly available.--Not later than 1 month 
                after submitting a report described in subparagraph 
                (A), the Secretary shall publish such report in a clear 
                and easily accessible format on the website of the 
                Department of Education.
    (g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary 
for each of fiscal years 2025 through 2029.

SEC. 6. RULE.

    The requirements of section 4001 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7101) shall apply to an eligible 
institution, local educational agency, or educational service agency 
receiving a grant under this Act, or participating in a program that 
receives funds under this Act, in the same manner as those requirements 
apply to an entity receiving an award under title IV of such Act.
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